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Published byÍΑἰνείας Αναστασιάδης Modified over 6 years ago
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Strategies to Reduce Door-to-Puncture Times in Acute Stroke
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Gregory W. Albers, MD: Time is Brain Lee H
Gregory W. Albers, MD: Time is Brain Lee H. Schwaam, MD: Improving Transport of the Stroke Patient to Hospital Ameer E. Hassan, DO: Streamlining Door-to-t-PA Time Daniel H. Sahlein, MD: Improving Door-to-Needle Time
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Time is Brain
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How Quickly Do Strokes Progress?
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CT Scans
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Thrombectomy Trials
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Improving Transport of Stroke Patients to the Hospital
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Public Awareness of Stroke
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EMS Dispatch
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Screening Tools
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Primary Stroke Center vs Comprehensive Stroke Center
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Severity-Based Stroke Triage Algorithm for EMS
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Improving Care
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Improving Care (cont)
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Streamlining Door-to-t-PA and Recanalization
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Valley Baptist Medical Center
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The Importance of Time
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Loss of Neurons
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Time Is Brain
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Time Matters
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Trend for Thrombolytic Use in the US
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Criticism of Negative Trials in 2013
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Time to Speed Things Up!
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Endovascular Trials 2015
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Endovascular Thrombolysis
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Image-Based Selection CT Perfusion Imaging of Core and Penumbra
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Stroke Triage Education, Procedure Standardization, & Technology (STEPS-T)
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The Stroke Care Pathway
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Endovascular Stroke Care Pathway
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STEPS-TL Results: Evolution of Intervention Duration
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STEPS-TL Results/Clinical Outcomes: Modified Rankin Scores 0 to 2 at 90 days
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Conclusions
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Food for Thought
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Improving Door-to-Needle Times
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Improving Stroke Awareness
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DAWN[a] and DEFUSE-3[b] Trials
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Diagnosis
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ASPECTS
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CT Scan
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CT Scan (cont)
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Time is Brain
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DAWN and DEFUSE 3 Trials
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DAWN and DEFUSE 3 Trials (cont)
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DAWN and DEFUSE 3 Trials (cont)
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Abbreviations
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Abbreviations (cont)
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Abbreviations (cont)
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